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Driving to work and overweight and obesity: findings from the 2003 New South Wales Health Survey, Australia



To examine possible associations between driving to work, physical activity and overweight and obesity.


Secondary analysis of cross-sectional data from a representative sample of the 2003 New South Wales Adult Health Survey, Australia.


A total of 6810 respondents aged 16 years or over.


Self-reported height and weight, modes of transport to work, level of physical activity, fruit and vegetable intake and social-economic status.


Almost half of the respondents (49%) were overweight. The main mode of transport to work was driving a car (69%), 15% used public transport, 7% walked, 2% cycled and 6% worked at home. People who drove to work were less likely to achieve recommended levels of physical activity compared to non-car users (56.3 vs 44.3%, χ2=82.5, P<0.0001). Driving to work was associated with being overweight or obese (adjusted odds ratio=1.13 (95% CI 1.01–1.27), P=0.047). Inadequate level of physical activity was independently associated with overweight or obesity. Socially and economically disadvantaged people were also more likely to be overweight and obese. In addition, being female or never married or having higher level of education was associated with a significantly reduced odds ratio of being overweight or obese, as was speaking a language other than English at home. No association was found between weight status and recommended vegetable or fruit intake.


Driving to work is the dominant mode of commuting in a modern society and its impact on health requires scrutiny. The association found in this study between driving to work and overweight and obesity warrants further investigation to establish whether this relationship is causal. If proved as such, then promoting active transport modes such as walking, cycling and public transport should form a key component of global obesity prevention efforts.

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  1. Ebbeling C, Pawlak D, Ludwig D . Childhood obesity: public-health crises, common sense cure. Lancet 2002; 360: 473–482.

    Article  Google Scholar 

  2. AIHW Are all Australians gaining weight? Differentials in overweight and obesity 1989/90–2001. Australian Institute of Health & Welfare Bulletin, 11 December 2003, Canberra.

  3. Mokdad A, Marks J, Stroup D, Gerberding J . Actual causes of death in the United States, 2000. JAMA 2004; 291: 1238–1245.

    Article  Google Scholar 

  4. Mokdad A, Marks J, Stroup D, Gerberding J . Correction: actual causes of death in the United States, 2000. JAMA 2005; 293: 293–294.

    CAS  PubMed  Google Scholar 

  5. Tackling obesity in England. Report by the Comptroller and Auditor General. National Audit Office. The Stationary Office: London, 2001.

  6. Sobal J, Stunkard A . Socio-economic status and obesity: a review of the literature. Psychol Bull 1989; 105: 260–275.

    Article  CAS  Google Scholar 

  7. Armstrong T, Bauman A, Davies J . Physical activity patterns of Australian adults. AIHW Catalogue CVD 10. Australian Institute of Health & Welfare: Canberra, 2000.

  8. Craig C, Russell S, Cameron C, Bauman A . Twenty-year trends in physical activity among Canadian adults. Can J Public Health 2004; 95: 59–63.

    PubMed  Google Scholar 

  9. Stubbs C, Lee A . The obesity epidemic: both energy intake and physical activity contribute. The Medical Journal of Australia 2004; 181: 489–491.

    PubMed  Google Scholar 

  10. New South Wales State of the Environment 2003. Department of Environment and Conservation: Sydney. 2003. ISSN 1320-6311. EPA 200389.

  11. Transport Statistics Report. Transport Trends 2003 Edition, DfT and National Statistics, Department of transport, London, UK, 2003.

  12. Promoting active transport. An Intervention Portfolio to Increase Physical Activity as a Means of Transport. National Public Health Partnership Secretariat: Melbourne, 2001.

  13. The National Travel Survey 1999/2001. National Statistics, Department of Transport, UK, 2002.

  14. Frank L, Andresen M, Schmid T . Obesity relationships with community design, physical activity, and time spent in cars. Am J Prev Med 2004; 27: 87–96.

    Article  Google Scholar 

  15. Centre for Epidemiology and Research, NSW Department of Health. New South Wales Adult Health Survey 2003. NSW Public Health Bull 2004; 15 (S-4): 11–13.

  16. NSW Department of Health website. accessed on March 17, 2005.

  17. US Department of Health and Human Services (USDHHS). (1996). Physical activity and health: a report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion: Atlanta, GA.

  18. NSW Department of Health website. accessed on March 17, 2005.

  19. Australian Bureau of Statistics. 1996 Census of population and housing: socio-economic indexes for areas. Information Paper, Catalogue no. 2039.0. ABS: Canberra, 1998.

  20. Ewing R, Schmid T, Killingsworth R, Zlot A, Raudenbush S . Relationship between urban sprawl and physical activity, obesity, and morbidity. Am J Health Promot 2003; 18: 47–57.

    Article  Google Scholar 

  21. Pikora T, Giles-Corti B, Bull F, Jamrozik K, Donovan R . Developing a framework for assessment of the environmental determinants of walking and cycling. Soc Sci Med 2003; 56: 1693–1703.

    Article  Google Scholar 

  22. Webb K, King L . Food, nutrition and the built environment. In: Chris Johnson (ed). Healthy Environments, Chapter 4 Government Architect's Publications (GAP): Sydney, 2004.

    Google Scholar 

  23. Bell CA, Ge K, Popkin BM . The road to obesity or the path to prevention: motorized transportation and obesity in China. Obes Res 2002; 10: 277–283.

    Article  Google Scholar 

  24. ADONIS Project. Analysis and Development of New Insight into Substitution of Short Car Trips by Cycling and Walking. European Communities: Italy, 1998.

  25. Pucher J, Dijkstra L . Promoting safe walking and cycling to improve public health: lessons from the Netherlands and Germany. Am J Public Health 2003; 93: 1509–1516.

    Article  Google Scholar 

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The data used in this study was collected by Centre for Epidemiology and Research, NSW Department of Health, Australia. CM was partly funded through a Staff Development Grant from Guy's and St Thomas’ Charitable Foundation in London.

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Correspondence to L M Wen.

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Wen, L., Orr, N., Millett, C. et al. Driving to work and overweight and obesity: findings from the 2003 New South Wales Health Survey, Australia. Int J Obes 30, 782–786 (2006).

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  • driving
  • overweight
  • health survey

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